SMART AGING: ENGAGING OLDER ADULTS TO GUIDE SENSOR DEVELOPMENT TO SUPPORT AGING IN PLACE

Abstract Over 80% of older adults want to live independently in their own homes and communities, maintaining quality of life, autonomy, and dignity as they age. We are using community engaged research methods to aid in developing in-home cost-conscious remote sensing technologies to support older adults age in place. To understand their needs, we engaged older adults in discussions on home-based sensing technologies. We used visuals and demonstrations to facilitate discussions, showing participants our sensor prototypes and a vignette describing the challenges an older adult and the family face managing a chronic condition. Participants voiced their interest in monitoring for select health conditions and situations when either they or the person(s) they care for are home alone. Discussants raised concerns about personal security/privacy, loss of independence, ethics of data collection and sharing, and being overwhelmed by collected data. Discussions have provided valuable feedback to help us develop a sensor system that is flexible enough to accommodate individuals in different life stages and comfort levels, with different home environments, levels of expendable income, and support structures. As a result, we have developed a system that uses nonvisual, non-wearable sensing that measures respiration and heart rates, and indoor location tracking to monitor the health and wellbeing of users. During this session, we will provide detailed results from our community discussions, and discuss the continuing role for community engagement as we move forward with sensor development and testing.

the family face managing a chronic condition.Participants voiced their interest in monitoring for select health conditions and situations when either they or the person(s) they care for are home alone.Discussants raised concerns about personal security/privacy, loss of independence, ethics of data collection and sharing, and being overwhelmed by collected data.Discussions have provided valuable feedback to help us develop a sensor system that is flexible enough to accommodate individuals in different life stages and comfort levels, with different home environments, levels of expendable income, and support structures.As a result, we have developed a system that uses nonvisual, non-wearable sensing that measures respiration and heart rates, and indoor location tracking to monitor the health and wellbeing of users.During this session, we will provide detailed results from our community discussions, and discuss the continuing role for community engagement as we move forward with sensor development and testing.Over 2 million Americans live in nursing homes (NHs), and the vast majority of them live with dementia negatively impacting their ability to communicate.Certified nursing assistants (CNAs) provide the majority of direct care to people living with dementia (PLWD) in NHs, yet they do not have access to person-centered, evidence-based tools to support communication with this population.When CNAs do not communicate with PLWD in effective ways, PLWD may demonstrate negative behavioral symptoms that interfere with care, impacting not only the PLWD, but also the CNA, contributing to CNA turnover and burnout.Most interventions designed to support communication between the PLWD and the CNA do not involve CNA engagement which may contribute to the lack of implementation and access of such interventions.The purpose of this presentation is to outline the process taken to engage CNAs in the implementation of an intervention designed to improve communication during care activities.Information about questions asked to CNAs both in formal (e.g., interviews, focus groups) and informal (e.g., hallway conversations) ways will be provided.Although a sample of CNAs from 6 NHs (n=12) initially rated the intervention as acceptable (M = 4.5, SD = .48),appropriate (M = 4.4, SD = .58),and feasible (M = 4.28, SD = .49)where a rating of '5' equals more acceptable, appropriate, and feasible, and '1' equals less acceptable, appropriate, and feasible, this presentation will highlight how additional levels of engagement prompted modifications to the intervention, supporting implementation.

States, 3. Penn State College of Medicine, Hershey, Pennsylvania, United States
Voices of Nursing Home (NH) residents, family caregivers, staff and leaders (community experts) are underrepresented in research development but integral when developing interventions for implementation these complex organizations.This study aimed to explore opinions of NH community experts in the development of a novel person-centered risk management intervention for residents with dementia.Community engagement studios (CES) engaged 62 community experts to gain their perspectives on the DIGNITY (Decision-making in aging and dementia for autonomy) study procedures and instruments.CESs (N=4) were led by an experienced moderator and co-moderator, recorded, and transcribed verbatim.Content analysis was used to summarize responses in a rapid feedback loop.Descriptive statistics of standard measures describe community experts' ratings of acceptability, appropriateness, and feasibility of DIGNITY intervention.Most community experts identified as female (85%), ranging from 22 -86 years.Participants were residents with dementia (n=4); family caregivers (n=4); NH administrators (n=16), care manager/ supervisors (n=10), direct-care workers (n=6) licensed healthcare providers (n=6), other NH staff (n=8), ombudsman (n=4) and state surveyors (n=4).Community experts provided suggestions to adapt the study instruments and delivery methods.The study team made changes to all six intervention elements based on expert feedback.Most experts agreed that the DIGNITY intervention was acceptable (M=17.7,SD= 2.08), appropriate (M= 17.24, SD= 2), and feasible (M=16.91,SD= 2.22) to implement in the NH community.Results support practical modifications to the DIGNITY intervention to make it feasible to implement in an upcoming pilot clinical trial.
Abstract citation ID: igad104.1911Secondhand smoke (SHS) exposure exacts considerable health and financial impact on thousands of Americans yearly.One in four nonsmokers (about 58 million people) is routinely exposed to SHS, primarily at home.There is wide variability in smoke-free home policy adoption, leading to sociodemographic disparities in tobacco exposure and adverse health effects among low-income renters.Although there is no safe level of tobacco smoke exposure, varying perceptions about exposure effects and risks contribute to inconsistent use of harm-reduction strategies such as smokefree home policies in private dwellings.Therefore, we surveyed and interviewed low-income extended-stay hotel renters (n=77) to learn about their perceptions of tobacco exposure.We also measured participants' willingness to selfmonitor these risks and adopt at-home smoke-free interventions.Most survey participants identified as nonsmokers (56.8%) exposed to tobacco smoke regularly.However, both nonsmokers and smokers preferred smoke-free rooms and indicated they would likely participate in personal health research by sharing air and biosamples to measure their exposure.We will present survey results of tobacco exposure knowledge and attitudes among long-term renters in Metropolitan Atlanta extended-stay hotels, perceptions of exposure risk, and self-efficacy beliefs.From our interview findings, we share renter and hotel manager readiness perceptions for implementing at-home smoke-free interventions.Lastly, we will share the results of integrating community-engaged partnerships with local organizations and respondent-driven sampling methods to build trust and aid renter recruitment.

PSYCHOSOCIAL RESOURCES IN THE CONTEXT OF VULNERABILITY AMONG OLDER ADULTS: IMPLICATIONS FOR WELL-BEING
Chair: Aurora Sherman Co-Chair: Kira Birditt Social ties and mastery may buffer detrimental effects of stressful life circumstances and vulnerability as individuals age.The purpose of this symposium is to understand the role of psychosocial resources for multiple dimensions of well-being across several age-related contexts.Luong et al. examined social ties' effects on moving into senior housing using a burst design, finding that social ties were less helpful in the beginning of the move but regained beneficial effects on well-being later.Kinkade and Fuller examined the role of social integration on the longitudinal effects of the widowhood transition for well-being, concluding that increased social integration had protective impacts on depression and functional health among widows compared to non-widows.Birditt et al. assessed the implications of positive activities and social interactions among dementia caregivers using ecological momentary assessments.Positive activities and positive interactions with care recipients were associated with lower levels of daily burden and greater positive affect especially among caregivers who reported high levels of burden.Ryan examined spouses' psychosocial characteristics on partners' well-being and whether they varied by cognitive status of the partner.She found that spouses' positive support from children amidst other negative psychosocial experiences was protective for their partner's life satisfaction.Sherman found that self-esteem for mid-life and older women was associated with higher mastery and lower constraints beliefs and that both were mediated by frequency of self-objectification. Together, these papers highlight the importance of psychosocial resources for well-being as individuals as they age and face new or on-going challenges.

CONTROL BELIEFS MEDIATED BY SELF-OBJECTIFICATION IN RELATION TO ADULT WOMEN'S SELF-ESTEEM Aurora Sherman, Oregon State University, Corvallis, Oregon, United States
Beliefs about mastery of one's environment as well as constraints on one's personal control are predictive of well-being across mid-life and older adulthood.In addition, women's level of self-objectification is predictive of